Active NPI
Robert Miles Smith II, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APN.0997084-NP
- Practice address
- 6915 Tutt Blvd.
Suite #110B
Colorado Springs, CO 80923-3591 - Phone
- (719) 445-1292
- Fax
- (719) 591-6486
- NPI assigned
- Jul 1, 2021
- Last updated
- Apr 13, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 1652682 | CO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN.0997084-NP | CO | Primary |
Addresses
Primary practice location
6915 Tutt Blvd.
Suite #110B
Colorado Springs, CO 80923-3591
Mailing address
1065 NE 125TH Street
Suite 300
North Miami, FL 33161-5833
Phone (888) 852-6672
Other names 1
- Robert Miles Smith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8835 American Way
Englewood, CO 80112-7056
Phone (720) 643-4300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1652682 | CO | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Front Range, Inc. | Current | Accepting new patients | |
| Denver Springs Physician Group LLC | Current | Accepting new patients | |
| Denver Springs Physician Group LLC | Current | Accepting new patients | |
| Intermountain Front Range, Inc. | Current | Accepting new patients | |
| Denver Springs Physician Group, LLC | Current | Accepting new patients | |
| Intermountain Front Range, Inc. | Current | Accepting new patients | |
| CSMN Operations Boulder | Current | Accepting new patients |
Locations
8835 American Way
Englewood, CO 80112
Phone (720) 643-4300
16830 Northgate Dr
Ste 103
Parker, CO 80134
Phone (720) 468-4780
16830 Northgate Dr
Unit 130
Parker, CO 80134
Phone (303) 805-7246
8787 Turnpike Dr
Westminster, CO 80031
Phone (720) 214-0826
3400 Lutheran Pkwy
Wheat Ridge, CO 80033
Phone (303) 467-4000
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Englewood, CO
- NPI 1144742016
-
dba Intermountain Lutheran Hospital - APC
- Internal Medicine Physician
- Wheat Ridge, CO
- NPI 1083444079
-
dba All Points Lodge Boulder
- Multi-Specialty Clinic/Center
- Boulder, CO
- NPI 1982327334
-
dba Denver Springs Changes Westminster
- Psychiatry Physician
- Westminster, CO
- NPI 1588428999
-
- Psychiatry Physician
- Englewood, CO
- NPI 1851030795
-
dba Lutheran Hospital - Breast Care Center
- General Acute Care Hospital
- Wheat Ridge, CO
- NPI 1619706249
-
dba Luthern Medical Center Radiation Oncology Clinic
- Radiation Oncology Physician
- Wheat Ridge, CO
- NPI 1851975304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649808000000",
"number": "1467022335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1065 NE 125TH STREET",
"address_2": "SUITE 300",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331615833",
"telephone_number": "888-852-6672",
"fax_number": "305-891-4228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6915 TUTT BLVD.",
"address_2": "SUITE #110B",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809233591",
"telephone_number": "719-445-1292",
"fax_number": "719-591-6486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ROBERT",
"middle_name": "MILES",
"name_suffix": "II",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-01",
"last_updated": "2022-04-13",
"certification_date": "2022-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CO",
"license": "1652682",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "APN.0997084-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROBERT",
"last_name": "SMITH",
"middle_name": "MILES",
"credential": "RN",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.